KR20110090242A - Method for preparing contact lens-shaped amniotic dressing - Google Patents

Abstract

PURPOSE: A method for preparing contact lens-shaped amniotic dressing is provided to be used for the treatment of eyeball surface disease without sewing or an adhesive material. CONSTITUTION: A method for preparing contact lens-shaped amniotic dressing comprises: a step of putting an amniotic membrane on a convex part of a mold; a step of inserting a ring into the side of a cylinder from the convex part; a step of cross linking the amniotic membrane; and a step of obtaining an amniotic membrane of a lens shape by cutting the amniotic membrane placed on a border of the convex part of the mold and a cylinder.

Description

Method for preparing contact lens-type amniotic dressing {Method for preparing contact lens-shaped amniotic dressing}

The present invention relates to a method for producing amnion dressings in the form of contact lenses, and more particularly, to a method for producing amnion dressings in the form of contact lenses that can be used for the treatment of ocular surface diseases without sutures or adhesives.

The amnion is the innermost membrane of the placenta with a thickness of 0.02 to 0.5 mm and consists of epithelial cells, basement membrane, compact layer, fibroblast layer, sponge layer, and avascular tissue. because the histocompatibility antigens are expressed not do rejection by transplantation (Akle CA et al Lancet, 1981 ; 2:... 1003-5; Dua HS et al Br J. Opthalmol, 1999; 83:. 748-52 ). The basal membrane of the amniotic membrane is composed of type IV collagen, laminin and α6 / β4 integrin, and epilepsy mainly consists of collagen I, III, hyaluronic acid, fibronectin and α5 / β1 integrin. And to facilitate movement.

These amniotic membranes were first used in ophthalmology by De Rotth's use of the chorion and amnion as a reconstruction of conjunctival defects in 1940 (De Rotth A. Arch . Opthalmol . , 1940; 23: 525-5), and later in the 1990s. There was no report in the ophthalmic area of the use of amniotic membranes until later in 1993. In 1993, Batle and Perdomo reported the use of amniotic membranes as conjunctival replacement tissues (Batle JF, Perdomo FJ. Ophthalmol ., 1993; 100: 107). Furthermore, since 1995, Kim and Tseng reported successful ocular surface remodeling using amnion in a rabbit model that underwent corneal epithelial removal and limbal lamellar resection. Kim JC, Tseng S. Cornea , 1995; 14: 473-84).

Amniotic membranes are known to promote re-epithelialization of the cornea and conjunctiva and to inhibit inflammation. Amniotic membrane transplantation is performed in patients with persistent corneal epithelial defects or inflammations such as corneal ulcers. Getting The amnion acts as a basal membrane that can maintain the growth and properties of the cells between the cornea and the conjunctiva, thereby promoting epithelial migration, strengthening the adhesion of the basement layer of the epithelium, promoting the differentiation of the epithelium, and inhibiting apoptosis of the epithelium. Promotes epithelial regeneration when healing wounds. In addition, it acts as a membrane that absorbs inflammatory cells and prevents infiltration of inflammatory cells, thus showing anti-inflammatory action. These features of the amniotic membrane have been applied to the treatment of various ocular surface diseases, such as corneal ulcers, group wings, gum adhesion, and chemical burns. Furthermore, the amnion contains various growth factors such as EGF, TGF-α, KGF, HGF, bFGF, TGF-β1, and β2, which are known to help wound healing. It is reported to remain after removal (Noriko Koizumi et al. Current Eye Research , vol. 20, no. 3, 173-177, 2000). This is a concern because the cells remain using a conventional method of making a biograft that removes the cells to avoid the potential risk of inflammatory or immune responses that may occur when clinically applying amnion containing allogeneic and heterologous cells. In addition to eliminating the potential risks, growth factors remain in the amniotic membrane, suggesting the availability of safer biografts with similar healing effects in existing clinical applications.

The three most important physical factors in the treatment of corneal epithelial cell defects can be summarized in three. The first is the constant supply of oxygen to the epithelial cells, the second is the sufficient hydration of the corneal epithelium, and the third is the removal of the friction factors that affect the epithelial cells. If all three factors are satisfied, the epithelial cells proliferate as long as the basement membrane is not obstructed. Existing methods, except those using amnion, do not satisfy all three factors at the same time. Amniotic membrane transplantation, however, retains moisture on the corneal surface due to the water-soluble properties of the membrane itself and protects the eyes from mechanical friction caused by the eyelids. In addition, oxygen permeability is higher than that of synthetic polymer therapeutic lens, and the effect of reconstruction of corneal epithelial cells can be seen.

However, in order to apply the existing amniotic membrane for the purpose of the treatment of ocular surface diseases, 10-0 nylon sutures should be performed, which requires a high degree of surgical technique for surgery and takes a long time. In addition, a number of side effects, such as suture abscess, granulomatous formation, tissue necrosis, may occur with sutures. Furthermore, the use of amniotic membranes has been limited because of the disadvantages such as the pain of the patient in the process of removing the suture after surgery and the discomfort of the patient at the suture site.

In an effort to solve the problems and inconveniences caused by such sutures, US Patent No. 7,494,802 discloses an example of fixing amnion to a support, which is commercialized under the name Prokera ^™ (USA, BioTissue). The product is a rigid material of polycarbonate for the purpose of use after ophthalmic surgery, the form is fixed to the amnion using an O-ring on the body having a hole of 15 ~ 16 mm in the upper portion. However, when the product is applied, a portion of the cornea protruding in the eye structure does not come into close contact with the amniotic membrane and is detached by flickering, or the part of the amniotic membrane fixed to the apparatus body and the ring is epithelial due to the vertical movement of the eyelid. Tearing occurs before cells grow and enter. In addition, there are disadvantages such as discomfort in the eye coming from the hard material.

Accordingly, the present inventors have developed a method for manufacturing amnion dressing in the form of a contact lens, which can be fixed to the eye without the combination of any other supporting device in addition to the amniotic membrane, and completed the present invention.

US Patent No. 7,494,802. Korean Patent Application No. 10-2008-0013379.

Kenyon KR et al, Ophthalmology. 1985; 92: 1461-1470. Stark T et al, Cornea. 1991; 10: 196-202. Allan BD short P, Crawford CJ, et al, Br. J. Ophthalmol., 1993; 77: 698-701. Chen PP, Ariyasu RG, Kaza V, et al, Am. J. Ophthalmol. 1995; 120: 151-160. Tan DT et al, Arch. Ophthalmol ,. 1997; 115: 1235-1240. Ti SE Chee SP et al, Br. J. ophthalmol., 2008; 84: 385-389. Sridhar MS et al, Cornea., 2002; 21: 305-307. Koranyi G et al, Br. J. Ophthalmol., 2004; 88: 911-914. Uy HS Reyes J M et al, Br. J. Ophthalmol., 2005; 112: 667-671. Shimmura S, Shimazaki J, Ohashi Y, et al. Cornea ,. 2001; 20: 408-413. Kim JS, Kim JC, Na BK, et al. Exp Eye Res. 2000; 70: 329-337. Gris O, Campo Z, Wolley-Dod C, et al, Cornea. 2002; 21: 22-27. Takano Y, Fukagawa K, Miyake-Kashima M, et al. Cornea. 2004; 233: 723-725 Choi YS, Kim JY, Wu WR, et al. Cornea. 1998; 17: 389-395. Woo HM, Kim HS, Kweon OK, et al. Br. J. Opthalmol., 2001; 85: 345-349. De Rotth A. Arch. Opthalmol., 1940; 23: 525-5. Batlle JF, Perdomo FJ. Opthalmol.,. 1993; 100: 107. Kim JC, Tseng SC. Cornea, 1995; 14: 473-84. Akle CA et al, Lancet, 1981; 2: 1003-5. Dua HS et al., Br. J. Opthalmol., 1999; 83: 748-52. Tsuyoshi Yoshita et al, Am. J. Ophthalmol., Vol. 138, No. 3: 486-487. Gowri Pachigolla et al. Eye & Contact Lens, vol 35, No 4, 2009. Noriko Koizumi et al. Current Eye Research, vol. 20, No. 3, 173-177, 2000.

Accordingly, it is an object of the present invention to provide a method for producing a dressing in the form of a contact lens using amnion.

Another object of the present invention is to provide amnion dressings in the form of contact lenses prepared by the above method.

In order to achieve the above object, the present invention comprises the steps of: 1) placing a membrane on the convex portion of the mold (mold) having a cylindrical portion and a round convex portion formed on the cylindrical portion; 2) inserting a ring to the side surface of the cylindrical part by inserting a ring into the convex part on which the amniotic membrane is placed; 3) crosslinking the amnion: and 4) cutting the amnion located on the line boundary between the convex portion and the cylindrical portion of the mold to obtain a lens-shaped amniotic membrane dressing. It provides a method for producing.

In order to achieve the above another object, the present invention provides an amnion dressing in the form of a contact lens for treating ocular surface diseases produced by the method.

The amniotic dressing of the present invention can solve the need for advanced suture technique, which is a problem in conventional amnion suture, delayed operation time, suture abscess, granulomatous formation or tissue necrosis, and patient discomfort. Since there is an advantage that can be eliminated by flicker, tearing of the support area, and discomfort of the eye at the source, it can be usefully used for the treatment of ocular surface diseases.

1 shows a cross-sectional view of a mold used in the manufacture of amnion dressings in the form of contact lenses of the present invention.
Figure 2 shows a perspective view of an insertion ring used in the manufacture of amnion dressing in the form of a contact lens of the present invention.
3 shows a plan view of the amnion and template complex.
Figure 4 illustrates a method of rotary cutting the amnion and mold composite using a lathe.
5 is a photograph of amnion dressing in the form of a contact lens made in accordance with the present invention.
FIG. 6 is a plan view of the amnion dressing in the form of a contact lens in which a hole for viewing is formed in the middle of the amnion.
FIG. 7 is a photograph of amnion dressing in the form of a contact lens in which a hole for securing a view is formed in the middle of the amnion.
FIG. 8 is a plan view of the amnion dressing in the form of a contact lens in which a plurality of holes are formed in the middle of the amnion to secure a view.
FIG. 9 is a photograph of amnion dressing in the form of a contact lens in which a plurality of holes are formed in the middle of the amnion to secure a field of view.
FIG. 10 shows the results of morphology maintenance according to the hydration of the amnion dressing without crosslinking treatment and the amnion dressing with crosslinking treatment.
FIG. 11 shows the animal transplantation results of amnion dressings prepared using HMDI from bovine amnion.
12 shows the corneal haze results after treatment of human amnion, acellular bovine amnion, and a control lens as a control group in rabbits that caused burns of the corneal epithelium.
FIG. 13 shows the results of observing inflammatory cells in the corneal stroma after treatment with a human amnion, acellular bovine amnion, and a therapeutic lens as a control group in rabbits causing burns of the corneal epithelium.

Hereinafter, the present invention will be described in detail.

First, the term "amniotic dressing" as used in the present invention is one of sanitary materials manufactured from amnion, and refers to a material which comes into contact with the cornea, in particular for the treatment of ocular surface diseases. In addition, "amnion dressing in the form of a contact lens" as used herein refers to a dressing that maintains the same hardness as a contact lens and is used in contact with the cornea in the same manner as a contact lens without sutures or adhesives. The term may be used interchangeably with "amniotic contact lens."

The present invention comprises the steps of: 1) placing a membrane on the convex portion of the mold (mold) having a cylindrical portion and a round convex portion formed on the cylindrical portion; 2) inserting a ring to the side surface of the cylindrical part by inserting a ring into the convex part on which the amniotic membrane is placed; 3) crosslinking the amnion: and 4) cutting the amnion located on the line boundary between the convex portion and the cylindrical portion of the mold to obtain a lens-shaped amniotic membrane dressing. It provides a method for producing.

Step 1) is a step of placing a positive film on the convex portion of the mold (mold) having a cylindrical portion and a round convex portion formed on the cylindrical portion.

The mold includes a cylindrical portion and a convex portion, and preferably has a diameter and a base curve suitable for forming a contact lens. Specifically, it is preferable that the cylindrical portion of the mold has a diameter of 8 to 22 mm, and the convex portion preferably has a radius of curvature of 6.0 to 10.0 mm. The mold may further include a support for supporting a ring fitted to a lower portion of the cylindrical part for adhesion and fixation of the amniotic membrane, and may further include a handle connected to the center of the bottom of the support. In an embodiment of the present invention, the mold disclosed in FIG. 1 may be used. The material of the mold may be made of acrylic, acetal, polytetrafluoroethylene (Teflon), stainless steel or titanium, but is not limited thereto.

In addition, the amniotic membrane placed on the template may be obtained from a mammal, and preferably may be obtained from a human or a cow. The amnion may be amnion that has been washed away or amniotic membrane, wherein the amnion is washed by Kim or Tseng (Kim JC, Tseng SC. Cornea , 1995; 14: 473-84) or by applying the same Removal of the amniotic cells may be carried out to remove the potential risk of an inflammatory or immune response, and by those skilled in the art, the cells may be removed using a suitable known solution. The amnion used in step 1) is stored in a refrigerated state until use.

The number of amnion used may vary depending on the thickness of the amnion, the strength of the amnion, and the opacity of the amnion, and in general, one layer may be used, but two or more layers may be superimposed on the convex portion of the mold to obtain the desired strength of the amnion dressing. In addition, in order to improve the difficulty of securing the field of view due to the opacity of the amnion itself, after step 1), a circular hole having a diameter of 1 to 7 mm is formed in the center of the amnion, or about 100 to 1000 using a laser in the center of the amnion. It is possible to form two or more, preferably dozens, of holes in the micrometer. In addition, one or more layers of amnion may be overlaid to improve pain or foreign body sensation that may be caused by bending by the holes.

Step 2) of the present invention is a step of fitting the ring to the side surface of the cylindrical part by inserting a ring on the convex part on which the amniotic membrane is placed.

The ring (or insertion ring) has a purpose of closely contacting and fixing the amniotic membrane to the mold, and is preferably manufactured to match the diameter of the cylindrical portion of the mold, and the material may be acrylic, acetal, or polytetrafluoroethylene (Teflon). It may be made of polyurethane, rubber, silicone or purple, but is not limited thereto. The amniotic membrane fixed to the mold as described above may be dried using various drying methods well known in the art, for example, natural drying, lyophilization or vacuum drying.

Step 3) of the method is a step of cross-linking the amnion.

When the amnion roughly dried in step 2) is hydrated, the contact lens is collapsed and returned to its original state. Thus, crosslinking is performed to prevent this. Crosslinking can be carried out by physical or chemical methods. Physical crosslinking may be carried out by ultraviolet irradiation or dehydrothermal treatment, preferably ultraviolet irradiation may be carried out by irradiating the amnion for 10 to 240 minutes with ultraviolet light having a wavelength of 254 to 305 nm, and dehydrating heat treatment. May be carried out by standing in a vacuum state of 90 to 105 ℃, 100 mTorr or less for 60 minutes to 72 hours. On the other hand, chemical cross-linking is carbodiimide, EDC (or EDAC; 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide), glutaraldehyde, formaldehyde, hexamethylene It can be carried out by immersing in diisocyanate (hexamethylene diisocyanate (HMDI), dextran or glucose solution.

Step 4) of the present invention is a step of obtaining a lens-shaped amniotic membrane by cutting the amniotic membrane located on the line boundary between the convex portion and the cylindrical portion of the mold.

In order to obtain a contact lens shape, the amniotic membrane located on the line boundary between the convex portion and the cylindrical portion is cut by a rotary cutting method, wherein the cutting is performed using a lathe and a laser (see FIG. 4).

In addition, the amnion dressing obtained through the step may be sterilized by gamma irradiation or electron beam irradiation after step 4) to ensure safety in use.

The present invention also provides amnion dressings in the form of contact lenses for treating ocular surface diseases prepared by the method.

Hereinafter, the present invention will be described in detail with reference to the following examples, but these examples and the like are intended to facilitate understanding of the present invention, and the scope of the present invention is not limited to these examples and the like.

Example 1: Treatment of Amniotic Tissue

<1-1> Treatment of Human Amniotic Membrane

Human amniotic membrane was treated by applying Kim and Tseng's method (Kim JC, Tseng SC. Cornea, 1995; 14: 473-84). Specifically, the amniotic membrane was separated from the placenta obtained after normal caesarean section of mothers who were negative for serologic tests such as hepatitis B, C, HIV and syphilis. A microbiological test is performed by sampling a portion of the separated amniotic tissue, followed by repeated washings in sterile physiological saline and sodium hypochlorite solution several times, finally in purified water, and refrigerated until use (2 ~ 8). ℃) was stored in the state.

<1-2> Treatment of small amniotic membrane

Cattle of amniotic membrane was treated as follows. Specifically, the placenta of the freshly delivered cow was recovered, the amniotic membrane was separated, and washed repeatedly with saline several times to remove foreign substances or blood stains. After repeated washing in sterile saline solution and sodium hypochlorite solution several times, the substrate layer of the amniotic membrane was removed using a scraper and washed again with sterile saline solution and purified water and refrigerated until use (2 ~ 8 ℃). Stored in the state.

<1-3> Treatment of Amniotic Membrane for Removal of Inflammatory and Immunogenic Substances

In order to eliminate the potential risk of an inflammatory reaction or immune response, the amniotic membrane was treated as follows to prepare amnion free of inflammatory and immunogenic substances. Specifically, the amniotic membrane separated from human or bovine placenta was put into sterile saline and refrigerated and used. The separated amniotic membrane of 500 cm ² was placed in 1 L of 95% ethanol and stored in the refrigerator overnight to remove lipid components of the amniotic membrane. The amniotic membrane was placed in 1 L of purified water and washed three times for 10 minutes. Then, the substrate layer of the amniotic membrane was removed using a scraper. The amniotic membrane, in which the substrate was removed, was placed in 1L of 70% ethanol and stored refrigerated for at least 1 day to inactivate the virus, and then placed in 1L of EDTA / sodium chloride solution of pH 11.0 containing 0.2% EDTA and 0.9% sodium chloride. Treatment for 1 h at to remove alkali soluble impurities. Subsequently, it was enzymatically reacted at 37 ° C. for 1 hour in trypsin / EDTA / sodium chloride solution at pH 7.4 containing 0.05% trypsin, 0.02% EDTA, and 0.9% sodium chloride. The amniotic membrane was completed in 1L of 70% ethanol and stirred at 150 rpm for 1 hour to remove remaining lipids. This was again reacted at 150 rpm in an alkaline solution of pH 11.0 for 1 hour, and then reacted at 150 rpm for 1 hour in an acid solution of pH 2.0 to which 0.2% EDTA was added to swell the tissue sufficiently, followed by 1 L of purified water. Washed three times at 150 rpm three times, and stored in a refrigerated (2 ~ 8 ℃) state before use.

Example  2: mold ( mold ) And the making of rings

Molds for forming into contact lenses and rings (or insert rings) for adhering the amnion to the molds were produced in the form shown in FIGS. 1 and 2, respectively. In the case of the mold, the cylindrical part, the convex part, the support part, and the handle part were composed, and the convex part of the mold had a base curve of 8.4 to 8.8 mm, and the cylindrical part was 14 mm in diameter. The supporting part has a supporting part supporting a ring for adhesion and fixing of the amniotic membrane, and the handle part has a cylindrical shape connected to the center of the bottom of the supporting part. Acetal was used as the material of the mold. On the other hand, the insertion ring shown in Figure 2 was manufactured to match the diameter having the radius of curvature of each lens mold. The insertion ring was made of Teflon (inner diameter 14.1 mm) or elastic material made of elastic (12 mm inner diameter).

Example  3: placement of the amniotic membrane

In order to make the amnion tissue obtained in Examples <1-1> to <1-3> in the form of a contact lens, the amniotic tissue was placed on a contact lens mold prepared in Example 2, and then an insertion ring (O- ring) to secure it.

Specifically, after the amniotic tissue was cut to the size of an appropriate lens mold, the amniotic membrane was placed on the round convex portion of the mold (FIG. 1) with the epidermal layer of the amnion facing down. In the case of multiple overlaps, the final amnion was to bring the epidermal layer outward. Then, the insertion ring (FIG. 2) was finally inserted into the overlapped amnion so that the amnion was completely adhered to the lens mold, and then naturally dried, lyophilized or vacuum dried in a clean bench. A plan view of the dried amniotic membrane (including the mold) is shown in FIG. 3.

Example  4: fixation in the form of contact lenses in amnion dressings

<4-1> Shape fixation using physical crosslinking

When the amniotic membrane dried through the process of Example 3 is hydrated, the amniotic membrane does not maintain the lens shape and returns to the original flat and muggy film. In order to prevent this, in the present embodiment, physical cross-linking was performed on the complex of the lens mold, the insertion ring, and the amnion. Specifically, it was allowed to stand for 48 to 72 hours in a vacuum of 95 ℃, 100 ℃ or 105 ℃, and 100 mTorr or less.

<4-2> Form fixation using chemical crosslinking

In order to obtain a higher crosslinking effect than the method of Example <4-1>, chemical crosslinking was performed using HMDI as a crosslinking agent as follows. Specifically, the complex of the lens mold, the insertion ring and the amniotic membrane dried in Example 3 was immersed in a methanol (99.5%) solution in which 0.2% HMDI was dissolved for 30 minutes to 12 hours, and the residual HMDI was washed with methanol. And natural drying in a clean bench. Instead of the crosslinking solution, Tween 80 or Triton x-100 in 0.9% physiological saline buffer solution with 0.1-3% HMDI, ethanol (10-100%) or methanol (10% -100%), or 0.9% physiological saline. A solution containing 0.1% to 5% can be used.

Example  5: Amniotic membrane cutting, washing and sterilization

In order to separate only the contact lens form from the composite of the lens mold, the insertion ring and the amnion crosslinked in Example 4, as shown in FIG. The cutting was carried out using a diamond cutting blade with a precision of 100 to 1/1000 mm (FIG. 4). In amnion dressings in the form of cleaved contact lenses, in order to completely remove residues of chemical crosslinking agents, the resultant was washed with Tween 80 solution or Triton x-100 solution (0.1-5%), washed repeatedly with brine, and finally tertiary purified water. Washed with. Then, after drying and sealing packaging, sterilization by irradiating a gamma ray of 10-25 kGy dose or an electron beam of the same dose. Meanwhile, the manufactured amniotic contact lens is shown in FIG. 5.

Example 6 Formation of Holes to Ensure Field of View

The amnion itself is somewhat transparent, but when two or more layers are overlapped, the opacity increases, making clear vision difficult. In order to improve the difficulty of securing the field of amnion dressing in the form of this superimposed lens, a hole or a CO ₂ laser (GC111; Iotechnics, GC111; South Korea) perforations (FIGS. 6 and 7). In addition, instead of drilling one hole in the center as described above, a lens having a field of view was prepared by drilling a plurality of holes of about 100 to 1000 μm in the center of the lens (FIGS. 8 and 9).

In addition to the CO ₂ laser, a green laser, a UV laser, or the like may be used.

On the other hand, the perforated amniotic dressing is caused to bend in the perforated area, when actually worn on the eye may be caused by the blinking of the eye is stimulated by the inner surface of the eyelid may cause pain and foreign body. Thus, after perforation, a layer of amnion can be overlaid on it.

Experimental Example 1: Verification of the effect of crosslinking of amnion dressing

In order to verify the morphological fixation effect of the crosslinking treatment of Example 4 of the present invention, the amnion dried in Example 3 was cut without crosslinking treatment (control) and the amnion dried in Example 3 was crosslinked. After the treatment (chemical crosslinking treatment) was cut (test group) was tested as follows. The control and experimental groups were immersed in physiological saline for 30 minutes at room temperature, respectively, and then observed in morphology. As shown in FIG. 10, the control group without cross-linking treatment collapsed the contact lens form by hydration. The experimental group subjected to the crosslinking treatment was found to maintain its form despite hydration. Therefore, it was confirmed that the form of the amnion dressing can be effectively maintained by crosslinking.

Experimental Example 2: Quantification of Growth Factors in Amniotic Membrane

To confirm the presence and amount of growth factors in the amniotic membrane, ELISA quantitative kits (b & r system, USA) were developed for bFGF and KGF. Was measured. As the test sample, human amnion, bovine amnion and cell-free amnion prepared in Examples <1-1> to <1-3> were used. All the samples were lyophilized and powdered using a freezer mill (Spex, USA). 60 mg of the powdered sample was placed in a tube containing 2 mL of phosphate buffer solution (pH 7.4), and extracted five times intermittently by refrigeration at 10,000 rpm using a homogenizer five times, 13,000 rpm, 4 ° C. and 20 After centrifugation for minutes, the supernatant was taken and growth factors were quantified by ELISA quantification kit. In addition, the amount of total protein was measured using a Bradford assay, and the amount of each growth factor extracted based on the total protein was converted. The measurement results are shown in Table 1 below.

Growth Factor Content in Amniotic Membrane Test subject bFGF (pg / μg) KGF (pg / μg) Human Amniotic Membrane (Example <1-1>) 420.71 ± 23.23 70.13 ± 11.48 Small Amniotic Membrane (Example <1-2>) 606.82 ± 28.93 29.13 ± 2.92 Acellular bovine amnion (Example <1-3>) 41.67 ± 23.57 238.64 ± 40.18

As shown in Table 1, bFGF contained 420.71 ± 23.23 pg / μg and 606.82 ± 28.93 pg / μg in human amnion and bovine amniotic membrane, and 41.67 ± 23.57 pg / μg in acellular amnion. there was. KGF was found to contain 70.13 ± 11.48 pg / μg, 29.13 ± 2.92 pg / μg, and 238.64 ± 40.18 pg / μg in human amnion, bovine amnion and cell-free amnion, respectively. In conclusion, although there is a difference in the relative amount, it was confirmed that the growth factors bFGF and KGF with or without cells.

Experimental Example 3: Biocompatibility Experiment of Amniotic Dressing-Guinea Subcutaneous Transplantation Experiment

In order to confirm the biocompatibility of the amnion dressing of the present invention, the amniotic dressing in the form of contact lenses prepared by the methods of Examples 3 and 4 was tested using hexamethylene diisocyanate (HMDI) as a chemical crosslinking agent. As a control, a sample obtained by sterilizing the cell-free amnion prepared by the method of Example <1-3> by the gamma irradiation method was used for the experiment. Inflammation and foreign body reactions were compared by subcutaneously implanting each sample in the guinea pig. Tissues were harvested 3 and 7 days after transplantation, fixed with formalin, washed with water and embedded in paraffin, and then cut into 5 μm thick, stained with H & E (Hematoxyline & eosin), and observed under an optical microscope. As a result of the biopsy, both control and test groups did not show any inflammatory or foreign reactions on the 3rd day and 7th day of transplantation. This is similar to that of the amniotic membrane dressing using HMDI as a chemical crosslinking agent. It was confirmed that it is suitable for living organisms (FIG. 11 ).

Experimental Example 4: Effectiveness test on rabbit corneal chemistry of human amnion and cell-free amnion

In order to examine the corneal epithelial healing effect of human amnion and acellular small amniotic membrane obtained in Examples <1-1> and <1-3>, as a positive control, the therapeutic lens (Focus, CIBA Vision Corporation) was as follows. As applied to rabbit cornea.

Specifically, 16 New Zealand white rabbits (32 eyes) were used as experimental animals. In order to cause burns of the corneal epithelium, a 6.5 mm-diameter round filter paper in which 0.1 N NaOH was deposited was contacted on the rabbit cornea for 25 seconds, and then washed well with saline. One rabbit (2 eyes) was observed as it was without any treatment to see the natural progression, and the remaining 15 animals (30 eyes) were applied to 10 eyes of each group, and then all of them were made using 6-0 black silk. Eyelid sutures were performed. After the operation, cravit (levofloxaxacin) eye drops four times a day and maxitrol potions four times a day. Samples were placed in each experimental group until corneal epithelium was healed while checking corneal epithelial healing by slit lamp every day after surgery. Evaluation of clinical features was performed at 1, 4 and 8 weeks postoperatively 1) Corneal Epithelial Healing Time, 2) Corneal Edema, and 3) Corneal Turbidity. Corneal edema was assessed by corneal thickness measurement (Pachymeter), and corneal haze was scored from 0 (transparent) to 4 (complete opacity) using Fantes grade. In addition, corneal tissue was collected one week after surgery, and stained with H & E, and then 4) inflammatory cells in the cornea were measured at five consecutive microscopical fields (magnification 200 ×). The measurement results are shown in Tables 2 to 5 below.

Corneal Epithelial Healing Time Results Human amniotic membrane Cell-free amniotic membrane Therapeutic lens group Corneal Epithelial Healing Time (Days) 3.2 ± 0.42 days 3.3 ± 0.48 days 3.3 ± 0.48 days

Corneal epithelial healing time was not significantly different among experimental groups.

Corneal Thickness Results 1 week 4 Weeks 8 Weeks Human amniotic membrane 754.4 ± 47.6 μm 691 ± 57.3 μm 636.9 ± 45.2 μm Cell-free amniotic membrane 775 ± 44.4 μm 724.6 ± 45.4 μm 659.6 ± 46.3 μm Therapeutic lens group 814.2 ± 56.9 μm 773.1 ± 55.0 μm 716.1 ± 52.5 μm

Corneal thickness was measured to observe corneal edema. Corneal edema was significantly improved after 4 weeks in the human and acellular small amniotic membrane groups.

Corneal Turbidity Results 1 week 4 Weeks 8 Weeks Human amniotic membrane 3.7 ± 0.48 3.0 ± 0.47 2.5 ± 0.53 Cell-free amniotic membrane 3.8 ± 0.42 3.2 ± 0.32 2.8 ± 0.52 Therapeutic lens group 3.9 ± 0.32 3.6 ± 0.52 3.1 ± 0.32

Corneal turbidity was measured, and as shown in Table 4 and FIG. 10, significantly improved in the human amniotic membrane and the cell-free amniotic membrane group after 4 weeks.

Number of inflammatory cells in the corneal parenchyma Human amniotic membrane Cell-free amniotic membrane Therapeutic lens group Inflammatory cell count 9.2 ± 2.7 9.4 ± 3.1 15.3 ± 5.3

The number of inflammatory cells in the corneal parenchyma was also significantly reduced in the human amniotic membrane and acellular small amniotic membrane group as compared to the therapeutic lens group as shown in Table 5 and FIG. 11.

Based on the above results, after inducing a chemical burn to the corneal epithelium of rabbits, the therapeutic time and quality of treatment of the corneal epithelium of the human amnion group and the acellular bovine amnion group from which all the cells were preserved were treated. Compared with the lens group, corneal epithelial healing time was similar without significant difference, but both human and acellular small amniotic membranes showed anti-inflammatory action, which inhibited corneal edema and corneal clouding.

Claims (15)

1) placing a membrane on the convex portion of a mold having a cylindrical portion and a rounded convex portion formed on the cylindrical portion;
2) inserting a ring to the side surface of the cylindrical part by inserting a ring into the convex part on which the amniotic membrane is placed;
3) cross-linking the amnion: and
4) cutting the amniotic membrane located on the line boundary between the convex portion and the cylindrical portion of the mold to obtain a lens-shaped amniotic membrane
A method for producing amnion dressing in the form of a contact lens, comprising.
The method of claim 1,
The cylindrical portion of the mold has a diameter of 8 to 22 mm, the convex portion has a radius of curvature of 6.0 to 10.0 mm, characterized in that the manufacturing method of amnion dressing in the form of contact lenses.
The method of claim 1,
Wherein said mold is made of acrylic, acetal, polytetrafluoroethylene (Teflon), stainless steel or titanium.
The method of claim 1,
The mold further comprises a support for supporting the ring fitted to the side of the cylindrical portion, a method for producing amnion dressing in the form of a contact lens.
The method of claim 1,
The amniotic membrane is obtained from a human or a cow, characterized in that the production of amnion dressing in the form of contact lenses.
The method of claim 1,
The amnion is characterized in that the amniotic membrane or the amnion from which the cells are removed, a method of manufacturing amnion dressing in the form of a contact lens.
The method of claim 1,
The amnion is superimposed on the convex portion of the mold two or more layers, the manufacturing method of the amnion dressing in the form of a contact lens.
The method of claim 1,
The ring is made of acryl, acetal, polytetrafluoroethylene (Teflon), polyurethane, rubber, silicone or purple, characterized in that the manufacturing method of amnion dressing in the form of contact lenses.
The method of claim 1,
The crosslinking treatment is carried out by ultraviolet irradiation or dehydrothermal treatment.
The method of claim 1,
The crosslinking treatment is performed on carbodiimide, EDC (or EDAC; 1-ethyl-3- (3-dimethylaminopropyl) carbodiimide), glutaraldehyde, formaldehyde, hexamethylene A method of manufacturing amnion dressing in the form of a contact lens, characterized in that it is carried out by immersion in diisocyanate (hexamethylene diisocyanate, HMDI), dextran or glucose solution.
The method of claim 1,
Characterized in that the cutting is carried out using a lathe and a laser.
The method of claim 1,
And after the step 4), further comprising sterilizing the amnion dressing by gamma-irradiation.
The method of claim 1,
After the step 1) further comprises the step of forming a circular hole having a diameter of 1 to 7 mm in the center of the amnion, or forming two or more holes having a diameter of 100 to 1,000 μm, contact lens form Method of preparation of amniotic dressing.
The method of claim 13,
After said step, further comprising the step of overlaying one or more amniotic membranes.
Amniotic dressing in the form of a contact lens for the treatment of ocular surface diseases, prepared by the method of claim 1.

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